Individual
MRS. MOLLY MCCORMICK GRAMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1661 HIGHWAY 99 N, BLDG A, STE 100, ASHLAND, OR 97520-8900
(541) 732-8300
(541) 732-8301
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-8300
(541) 732-8301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26932
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028520
—
OR
Enumeration date
08/18/2006
Last updated
03/10/2021
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